Inspection on 14/07/05 for Parkview House

This inspection was carried out on 14th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Parkview House 24/07/07

Parkview House 22/11/06

Parkview House 14/01/06

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Parkview House 208-212 Chingford Mount Road Chingford London E4 8JR Lead Inspector Harun Rashid Announced Inspection 14th July 2005 10:00am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Parkview House Version 1.10 Page 3 SERVICE INFORMATION Name of service Parkview House Address 208-212 Chingford Mount Road, Chingford, London E4 8JR Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8542 7200 020 8559 3115 Carebase (Parkview) Ltd Ms Ann Marie Crane Care Home 53 Category(ies) of Old Age, not falling within any other category registration, with number (53) of places Parkview House Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: NONE Date of last inspection 16/11/04 Brief Description of the Service: Care Base (Park View) Ltd. is the part of Care Base Ltd. registered to accommodate 53 elderly people. The home is situated in South Chingford, in the London Borough of Waltham Forest. Care is offered in four units, each comprising a combined lounge/dining area plus near-by bedrooms designated for each unit. In addition, there is a quiet room to entertain guests. Most of the bedrooms are single but four are doubles, each shared by two people. All bedrooms have en-suite facilities of wash hand basin and lavatory with some also having a step-in shower.There are separate offices for the manager and administrator and a hairdressing room. Meals are prepared and cooked in the central kitchen by catering staff, then passed through a hatch to one unit and transported in heated trolleys to the other three units. Each unit has a small kitchen area for serving meals or preparing drinks and snacks. There are central laundry facilities. The home is on a main road has a good parking area and is near to public transport and shops. Outings are arranged to shops or social events and a full-time activities worker implement a daily activities programme. There are several attractive courtyard gardens accessible to service users and that are well used in the good summer weather. Parkview House Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place on a weekday morning of 14th of July 2005. The Inspector was able to interview four members of staff including the registered manager. The regional manager of Care Base Ltd. was present during part of the inspection. The Inspector spoke to 10 service users and received 38 feed- back cards from service users, their relatives, staff, health professionals and care managers. They all expressed their satisfaction with the standards of care provided in the home. Staff interviewed informed that since the new organisation took over staff were given more opportunities to attend various courses. The service applied for a major variation for dementia category for 9 beds situated on the top floor known as Larkswood unit. The application was successful subject to the Registration Inspector’s recommendations dated 23/6/05. The manager informed that they are now in a process to meet all recommendations. What the service does well: What has improved since the last inspection? What they could do better: The registered manager must ensure that Regulation 37 notifications are sent to the CSCI without delay. It is recommended that the manager delegate a senior carer to arrange scheduled staff meeting in her absence. Parkview House Version 1.10 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Parkview House Version 1.10 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Parkview House Version 1.10 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3,4 and 6 All service users are provided contracts which included terms and conditions. The registered manager ensures that prospective service users’ needs are assessed prior to admission. Staff are provided training to meet assessed needs of the service users. EVIDENCE: Following the recommendation of the previous inspection report the management has issued a statement of terms and conditions/contract to each service user regardless of whether they are self funded or placed by the local or health authorities. The newly admitted service users are assessed before they are admitted to the home. The registered manager who has completed her Registered Manager’s Award usually carryout pre-admission assessments. The assessment of needs tools are comprehensive and detailed with information. The Inspector spoke to a number of service users, their relatives, members of staff and received 38 feedback cards. They all expressed their satisfaction with the standard of care provided in the home. Care files suggested that service Parkview House Version 1.10 Page 9 users assessed needs are met, staff are provided training and they seek specialist advice as and when required. Evidence of referral letters was available in the files. Standard six is not applicable to this service, as the home does not provide intermediate care. Parkview House Version 1.10 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 and 10 The home can demonstrate that service users’ health and personal care needs are met adequately. Staff review care plans on a weekly basis. Staff respect service users privacy and dignity at all time. EVIDENCE: Care files were inspected which suggests that care plans were generated from comprehensive assessments of care managers/health professionals. For service users who are self funded their care plans were developed from comprehensive assessments carried out by the home. The assessments covered all aspects of health, personal, social, cultural and religious needs. Evidence suggests that staff reviewed care plans on weekly basis, which exceeded National Minimum Standards. The majority of service users required staff escort to all medical appointments for example G.P, optical, dental. If any service user does not wish or is not able to attend G.P surgery the doctor visits them in home instead. The manager advised the Inspector that all recommendations made by the Commission’s Pharmacist Inspector was met. Medications are provided in blister packs from a local chemist. Staff members follow the medication Parkview House Version 1.10 Page 11 procedure of the home. Staff keep records of all medication received, administered and disposed of, to ensure there is no mishandling. Staff respect service users privacy and dignity during the delivery of personal care and at all time. From the observation it was clear that bedroom doors, toilets and bathroom doors were closed during the delivery of personal care. Parkview House Version 1.10 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 Social activities for service users are well arranged. Staff welcome and encourage service users’ relatives and friends to visit them. Choices of menus are offered. EVIDENCE: The home employ two part-time activity co-ordinators for service users who organise individual and group activities on each of the floors. Service users are encouraged to visit local parks, theatre and seaside during the summer. They are also encouraged to join Dial-a-ride. Service users family and friends are encouraged and welcomed to visit them. Visitors can be received in private in their bedrooms or in a visitors’ room. All service users are registered on the electoral register. The manager advised that some service users visited a local polling station to cast their votes in the last general election. Staff encourage service users to handle their finances and keep personal allowances in cash tins which are kept in a safe of the home. Information regarding access to independent advocacy services was displayed on the notice board. From the examination of weekly menus and discussion with service users it was evident that they receive a varied, appealing, wholesome and nutritious Parkview House Version 1.10 Page 13 diet, which is suited to individual, assessed and recorded requirements. The weekly menu offers choices of at least two main meals at each meal time. Parkview House Version 1.10 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The complaint policy and procedure of the care base ltd. is simple, clear and was made available to all relevant parties. Adult protection policy and procedure contain sufficient guidance for staff to enable to protect service users from abuse. EVIDENCE: Care Base Ltd. provides a simple and clear complaint policy and procedures for service users, their family members and for other relevant parties. A record of complaints was kept by writing in a complaint book including details of investigation and action taken by staff. The complaints were received were in minor in nature and those were investigated and resolved accordingly. All members of staff attended adult protection training. The adult protection policy and procedure of Care Base Ltd. contains sufficient guidance for staff to protect service users from abuse. The registered manager knows her responsibility to refer staff who harm service users in their care to the POVA list. Parkview House Version 1.10 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22 and 26 The home is very suitable for its stated purpose, which is safe and well maintained. There are several attractive courtyard gardens accessible to service users. EVIDENCE: The building had been extended over time and meets mobility standards. It is well maintained and well decorated. There is a rolling programme for maintenance and a record of works carried out. The use of CCTV cameras is restricted to entrance areas for security purposes only. Each unit has a combined sitting and dining area. In addition, there is a shared quiet room, which can be used for entertaining visitors. There are several attractive garden areas, which include three secluded areas. The garden is well used by service users. Parkview House Version 1.10 Page 16 All rooms have en-suite toilets. Five bathrooms have parker-style assisted baths for those with limited mobility and there are also two parker-style showers, again adapted for people with mobility problems. An occupational therapist assessment was carried out recently who confirmed that the premises met the mobility standards. Rails are fitted in corridors and bathrooms. Lifts and ramps enable access throughout. The premises were clean, fresh and bright with no offensive odour. There was a sluice facility incorporated in the communal washing machines. The kitchen and communal areas were very clean and tidy at the time of the inspection. Parkview House Version 1.10 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28,29 and 30 The deployment and current number of staff was sufficient to meet service users current needs. The service provides training for staff development and more than 50 of care staff attended NVQ level 2/3 training in care. EVIDENCE: Currently there are 36 care staff (full and part-time) including 4 senior carers employed in the home, in addition to the registered manager. The service also employs 8 (full and part-time) ancillary staff. Staff rota confirmed that 10 members of staff are on duty during the day and four staff are on waking duty at night. Evidence suggests that more than 50 of care staff attended NVQ level 2/3 training in care. The foundation training had been developed to TOPPS specifications and delivered within six months of the appointment of staff. Staff interviewed confirmed that since Care Base Ltd. took over the business they attended quite a few courses including NVQ level 2/3 qualifications. The management operates a thorough recruitment procedure based on equal opportunities. The management receives two references for each staff member prior to their employment. The manager ensures that all staff have current CRB disclosures. Parkview House Version 1.10 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,34,35,36 and 38 There is effective leadership; guidance and direction to staff to ensure service users assessed needs are met. The home ensures that service users health, safety and welfare are well maintained. However, the manager must ensure that regular staff meetings take place and Regulation 37 notifications are sent to the Commission without delay. EVIDENCE: The manager is qualified, competent and experienced to run the care home and meet its stated purpose. She has completed her Registered Manger’s Award. The home obtains service users and relatives satisfaction survey questionnaires on a periodic basis. These were found satisfactory and made available for all relevant parties. The Inspector received 38 feed back cards from service users, their relatives, staff, care managers and health Parkview House Version 1.10 Page 19 professionals. They all expressed their satisfaction with the high standard of care provided in the home. The business is financially viable and the manager showed the business plan and accounts of the current year. The service has a valid liability insurance cover against loss or damage to the assets of the business. Service users’ financial interests were safeguarded and there were procedures in place. Service users family members look after their finances. Where family is not in a position to take care of the finances these are managed by the Court of Protection. Staff interviewed confirmed that regular supervision takes place as required by the National Minimum Standards. It was evident that a scheduled staff meeting did not take place due to the absence of the manager. The Inspector advised that the manager should delegate a senior carer to arrange the staff meeting in her absence. It was evidenced that on one occasion a Regulation 37 notification was not sent to the CSCI on time which was noted by the duty Inspector. The registered manager must ensure that Regulation 37 notifications are sent to the Commission without delay. A fire risk assessment of the premises was carried out. The service ensures that regular fire equipment, gas and electric appliance checks are carried out. Copies of certificates were available for inspection. Parkview House Version 1.10 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 4 3 3 x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 3 3 2 x 2 Parkview House Version 1.10 Page 21 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP38 Regulation 37 Requirement The registered manager must ensure that Regulation 37 notifications are sent to the Commision without delay. Timescale for action 31/8/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP36 Good Practice Recommendations The manager should ensure that regular staff meetings take place by delegating a senior carer to arrange staff meeting in her absence. Parkview House Version 1.10 Page 22 Commission for Social Care Inspection Gredley House 1-11 Broadway London E15 4BQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Parkview House Version 1.10 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!